Laserfiche WebLink
813 -780 -0020 City of Zephyrhills Permit Application vq66 0 Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting - <br /> Owners Name V 4..+Lt C.Q C�.�tn.11 a <br /> .0 1— owner Phone Number 3 E$' - Iy - '613 <br /> Owners Address 1 1) 0a Co Uycho✓,�- C, 1::)., j Owner Phone Number ( 1 <br /> .E S,""!"" ' " r - j LT (.LP- S1 1 `T e0t Owner Phone Number I I <br /> Fe. Simple Titleholder Address I I <br /> JOB ADDRESS I / 4 53 G Dye a 1 1 LOT # 1 I <br /> SUBDIVISION 10 r.4t9C- k0SIOvie• 1 PARCEL MI S • ale . .v i , 01, _ o .01.5 01 <br /> << (OHTAWED <br /> FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR R ADD/ALT Q SIGN n MOVE Q DEMOUSH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR n COMM n OTHER I <br /> TYPE OF CONSTRUCTION Q BLOCK =I FRAME I <br /> r Q S TEEL Q OT HERI ( <br /> KNI <br /> DESCRIPT OF WORK I E 7 A 4 >' zrn c[z a � s s -e. w I Sk. L.- I <br /> BUILDING SIZE I I SQ FOOTAGE I `l I HEIGHT1 I <br /> f BUILDING I I VALUATION OF TOTAL CONSTRUCTION <br /> ri ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY <br /> Q W.R -E.C. <br /> Q PLUMBING IS I <br /> gi, MECHANICAL IS - °Jc. D I VALUATION OF MECHANICAL INSTALLATION <br /> D GAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA nYES ONO <br /> BUILDER 1 COMPANY I I <br /> SIGNATURE REGISTERED 1 Y! N 1 FEE CURRENT 1 Y 1 N 1 <br /> Address 1 License* I <br /> ELECTRICIAN COMPANY I I <br /> SIGNATURE REGISTERED ( Y/ N ' FEE CURRENT ' Y / N <br /> Address 1 1 <br /> License* 1 <br /> PLUMBER COMPANY 1 I <br /> SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 YIN 1 <br /> License # 1 1 1 <br /> M • ._ <br /> - �._�,....r COMPANY IA 6e.1v. RQ4 2,0.,'11 O kit I <br /> SIGNATURE REGISTERED I Y/ N I fff cuinr I Y/ N <br /> Address I4 as- N ( y +' pR LiA' T 4 - 3 ti) License* IC .E l A I' > 1 <br /> OTHER v COMPANY 1 I <br /> SIGNATURE <br /> I REGISTERED ' Y/ N ' FEE cunneur i Y/ N <br /> Address 1 License# 1 1 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R O-W Permit for new construction, <br /> Minimum ten (10) working days afar submittal date. Required on$lte, Constnxxion Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dUmpster, Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Lie Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction. <br /> Minimum ten (10) wonting days after submittal date. Required onsie, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpater. Site Work Permit for all new projects. All Commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for as NEW construction. <br /> me <br /> Directions: - = — _ __ ___ <br /> Fill out application completely. <br /> Owner & Contractor sign bads of application, notarized <br /> If over $2600, a Notice of Commencement la required. (A/C upgrades over $4000) <br /> Agent (ftv the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITI1NG (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fenoaa (Plot/Survey/Footage) <br /> Drrveways.Not over Counter if on public roadways..needs ROW <br />